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Ceroid-lipofuscinosis neuronal protein 6 (CLN6) (CLN6)

Target
CLN6
Molecular classification
Endoplasmic reticulum resident protein [UniProt: P59826], Multi-pass membrane protein [UniProt: P59826]
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Overview

Ceroid-lipofuscinosis neuronal protein 6 (CLN6) is a 311-amino acid, multi-pass transmembrane protein primarily localized to the endoplasmic reticulum (ER) (UniProt: P59826). It functions as part of a complex that facilitates the recruitment of lysosomal enzymes, such as cathepsin D and acid alpha-glucosidase, for transport to the Golgi apparatus (PubMed: 26831070). Mutations in the CLN6 gene cause variant late-infantile neuronal ceroid lipofuscinosis (vLINCL) and adult-onset Kufs disease type B, which are characterized by the lysosomal accumulation of ATP synthase subunit c and autofluorescent lipopigments (NIH: GeneReviews). These conditions lead to severe neurodegeneration, including symptoms like epilepsy, ataxia, and loss of vision (PubMed: 23535054). Current therapeutic development focuses on AAV-mediated gene therapy, such as AT-GTX-501, which aims to deliver a functional CLN6 gene to the central nervous system to restore lysosomal function (ClinicalTrials.gov: NCT02725580).

Other names
LinclnclfhsCLN6Neuronal ceroid lipofuscinosis 6 protein
02

Mechanism of action

Gene replacement therapy using an adeno-associated virus (AAV9) vector to deliver a functional copy of the CLN6 gene to the central nervous system, restoring protein function and normalizing lysosomal enzyme trafficking [ClinicalTrials.gov: NCT02725580].

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Biological functions

Lysosomal enzyme trafficking [PubMed: 26831070]ER-to-Golgi transport [PubMed: 26831070]Lipid homeostasis [PubMed: 21990111]Autophagy regulation [PubMed: 23535054]
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Disease associations

Neuronal ceroid lipofuscinosis 6 [NIH: GARD]Variant late-infantile neuronal ceroid lipofuscinosis [OMIM: 601780]Kufs disease type B [PubMed: 23535054]Neurodegenerative disease [PubMed: 23535054]
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Safety considerations

Immunogenicity against AAV vector [PubMed: 33053377]Hepatotoxicity [ClinicalTrials.gov: NCT02725580]Dorsal root ganglion (DRG) toxicity [PubMed: 32034115]Inflammatory response to transgene expression [PubMed: 33053377]
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Interacting drugs

AT-GTX-501 (AAV9-CLN6 gene therapy) [ClinicalTrials.gov: NCT02725580]
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Biomarkers

Lipofuscin accumulation [NIH: GeneReviews]Neurofilament light chain (NfL) [PubMed: 34153315]Brain atrophy (via MRI) [ClinicalTrials.gov: NCT02725580]Accumulation of subunit c of mitochondrial ATP synthase [UniProt: P59826]

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